Displaying 177581-177590 of 1611142 results.
ID:
177581
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
177582
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177583
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
177584
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
177585
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177586
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177587
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177588
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177589
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177590
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177581177582177583177584177585177586177587177588177589177590